Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jalissa Poole

Individual provider Other Technician · NPI 1467014795

Jalissa Poole is an Other Technician in Dearborn, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3231 S Gulley Rd Ste E
Dearborn, MI 48124-4405
Phone: (313) 278-2327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X
Other Technician Taxonomy 247200000X (MI)

Record details

NPI number1467014795
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2019
Last updated in NPPESJuly 8, 2019
Mailing address620 Germantown Pike, Lafayette Hill, PA 19444-1810

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